Individual
MR. ELIJAH AARON MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 287-6200
Mailing address
996 S 7TH ST, SAN JOSE, CA 95112-3929
(408) 472-8524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131782
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2021
Last updated
07/16/2025
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